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This study evaluates the Cageur Jasa Health Service Program at the Tanah Tinggi Public Health Center in Tangerang City, which was developed as an innovation to expand access to basic healthcare services through home visits. The program aims to improve service quality, strengthen family independence in maintaining health, and support the achievement of the 12 indicators of the Indonesia Healthy Program with a Family Approach (PIS-PK). The evaluation applies William N. Dunn’s six policy evaluation criteria effectiveness, efficiency, adequacy, equity, responsiveness, and appropriateness supported by theoretical frameworks from public administration, public policy, and health service innovation. This research employs a qualitative descriptive method, with data collected through observation, in-depth interviews with informants, and secondary data analysis. The findings indicate that the program’s implementation has not fully achieved its intended objectives, as evidenced by declining service coverage, several PIS-PK indicators remaining below 50%, increasing disease findings, and the persistence of maternal and infant mortality cases. Limitations in resources, coordination, infrastructure, and suboptimal promotive and preventive efforts further hinder the program’s effectiveness. Overall, the study concludes that although Cageur Jasa contributes to improving healthcare access, its implementation at the Tanah Tinggi Public Health Center remains suboptimal and requires continuous improvement.

Daily drinking water requirement for healthy individuals is a crucial factor in maintaining health and physiological balance. For individuals involved in intense physical activity or exercise, fluid requirements can increase significantly, with recommendations reaching 3 to 4 liters per day to replace fluid loss through sweat, so researchers consider it important to discuss the provision of clean drinking water installations with the application of Reverse Osmosis (RO) machines that utilize PDAM water as a source, which is in the Candrasa complex to support the fulfillment of drinking water needs for the Indonesian Navy Academy Cadets. AAL is a military educational institution that requires a supply of safe and high-quality drinking water for the Cadets so that the learning and training process can run smoothly. This study covers the daily drinking water needs of AAL Cadets, the current condition of the drinking water supply, and the concept of the RO machine itself in the Candrasa complex by utilizing PDAM water to produce healthy and suitable drinking water for AAL Cadets. The results of this study are expected to increase the availability of clean and safe drinking water for AAL cadets, facilitate drinking water distribution in the Candrasa complex, support their quality of life during their education, training, and foster care, and help maintain their health and safety. This study also underscores the importance of efficient and sustainable water management in the military environment.

Food safety is crucial for maintaining public health, especially in rural areas that face limitations in knowledge and resources to detect harmful substances in food products. The PKK Group of Borisallo Village, Gowa Regency, has great potential to become an agent of food safety education and monitoring. However, they still face limitations in understanding the impact of pathogenic microbes, pesticide residues, and harmful chemicals such as formalin, borax, and synthetic dyes. This Community Service Program (PKM) aims to enhance the knowledge and skills of PKK members through education and training on detecting harmful substances using simple organoleptic methods and household tests. The activities include counseling, self-detection demonstrations, and providing supporting tools such as portable stoves and frying pans for home practice. The results show a significant improvement in participants' knowledge, especially regarding the characteristics of contaminated food and natural inspection techniques. The PKK group also showed high enthusiasm in disseminating food safety information. This program enhances the capacity of PKK as agents of change, strengthens the culture of food safety at the household level, and supports sustainable education through collaboration with the village government and health centers. It is hoped that this can be replicated in other villages.

The educational activity on the implementation of Clean and Healthy Living Behavior (PHBS) with a focus on the practice of washing hands and brushing teeth at SDN 07 Jati Mulya, Kerinci Kanan District, Siak Regency, aims to improve students' knowledge and skills in maintaining personal hygiene from an early age. This program was carried out for two days by applying educational, participatory, and demonstrative methods involving all students from grade I to grade VI. The learning media used is in the form of educational videos and the song "6 Steps to Wash Hands WHO 2024" to attract students' attention and facilitate the understanding of the material in a fun way. The results of the activity showed a significant improvement in students' understanding and skills related to the correct hand washing and brushing steps. In addition, students look more enthusiastic, actively ask questions, and begin to get used to doing cleaning practices independently in daily activities at school. The role of teachers as companions and support for school facilities, such as the availability of clean water and cleaning tools, has been proven to have a great influence on the success of activities. Therefore, integrated, planned, and sustainable PHBS education in the school environment is considered effective in forming healthy living behaviors and preventing diseases from elementary school age.

The purpose of this activity is to socialize the implementation of biosecurity as an effort to prevent disease in cattle in Luhulely Village, Pulau Letti District, Southwest Maluku Regency. This activity was carried out using a socialization method involving beef cattle farmers and all Luhulely Village staff. The implementation of the activity was divided into 2 sessions, namely a material presentation session and an interactive discussion session. Some general steps in implementing biosecurity include the following: access management, animal movement control, cleanliness and sanitation, waste management, animal health monitoring, and vaccination. This socialization activity was attended by approximately 20 participants consisting of beef cattle farmers and several Luhulely Village staff. Several important things that can be concluded from the implementation of this activity are as follows: the majority of farmers showed an increased understanding of the importance of biosecurity after participating in the socialization, the farmers expressed their readiness to implement various biosecurity measures, such as quarantine of new livestock, waste management, and provision of adequate sanitation facilities in the livestock area, and several farmers requested further assistance regarding the implementation of more detailed biosecurity, including correct livestock vaccination techniques. The conclusion of this activity is that the socialization of biosecurity implementation on cattle farms is expected to increase farmers' awareness and understanding of maintaining livestock health and preventing disease transmission. Through proper biosecurity implementation, it is hoped that healthy, more productive, and sustainable livestock conditions will be created.

The meaning of gratitude according to the perspective of the Qur'an and its relationship to modern human life which is influenced by technological advances, materialistic lifestyles, and social pressures. In the view of the Qur'an, gratitude is not merely expressed through words, but involves the awareness of the heart, verbal words, and real actions as a form of recognition of the blessings given by Allah SWT. Gratitude also functions as a reflection of faith that combines spiritual, moral, and social elements. In the context of modern life, the meaning of gratitude has shifted due to consumptive lifestyles and the culture of seeking recognition on social media, which has an impact on decreasing feelings of satisfaction and inner peace. This study uses a qualitative approach with a library research method through a review of the verses of the Qur'an, tafsir books, and various relevant academic literature. The results of the study show that the teachings of gratitude in the Qur'an play an important role in maintaining spiritual, emotional, and spiritual balance in the midst of modern life. The application of an attitude of gratitude has been proven to improve mental health, strengthen social relationships, and reduce materialistic tendencies. Furthermore, the value of gratitude can serve as a moral guideline for Generation Alpha, enabling them to balance technological advancement with spiritual life. Overall, the teachings of gratitude in the Quran remain universally relevant, not only as a religious obligation but also as a spiritual and social necessity that can bring happiness, serenity, and meaning to life amidst the dynamics of the digital age.

Hypertension is one of the main risk factors that can cause damage to target organs, including the eyes. One of the complications that often occur in hypertensive patients is hypertensive retinopathy, which is damage to retinal blood vessels due to a persistent increase in blood pressure. This damage can be progressive and asymptomatic in the early stages, so it often goes undetected until severe visual disturbances appear. This study aims to identify and analyze the role of blood pressure control in the prevention of ocular complications in hypertensive patients through a literature review. The method used is literature review by selecting national and international research articles published in 2021–2025 from the PubMed, ScienceDirect, Google Scholar, and Cochrane Library databases. Inclusion criteria include full-text articles, relevant research designs, and discussing the relationship between blood pressure control and ocular complications. The results of the study showed that uncontrolled blood pressure increased the risk of retinal damage, decreased ocular perfusion, and microvascular changes detected through funduscopy and Optical Coherence Tomography Angiography (OCTA) examinations. Some studies have concluded that stable blood pressure control, not just the average value of blood pressure, has a significant effect in preventing the progression of hypertensive retinopathy. In addition, regular eye exams have been proven to be able to detect retinal changes early, so that preventive interventions can be carried out in a timely manner. Thus, optimal blood pressure control, therapy adherence, healthy lifestyle education, and regular retinal examinations are effective strategies in preventing ocular complications and maintaining vision quality in hypertensive patients.

Hypertension remains a major health problem with high prevalence, often linked to poor lifestyle habits and low self-efficacy in managing one’s health. Effective hypertension management requires not only support from health professionals but also encouragement from family members who can remind patients to adhere to treatment and provide emotional support. This study aimed to analyze the relationship between self-efficacy, lifestyle, and family support with hypertension among Prolanis members in the working area of Puskesmas Oesapa, Kupang City. Using an observational analytical approach with a cross-sectional design, the study involved 65 hypertensive Prolanis members selected through simple random sampling. Data collection was conducted using a structured questionnaire. The findings showed significant relationships between self-efficacy, physical activity, and diet with hypertension status (p-value = 0.000). However, resting habits were not significantly associated with hypertension (p-value = 0.063), and family support also showed no significant relationship (p-value = 0.388). The study recommends that the Puskesmas continue to strengthen Prolanis activities and enhance health education, particularly regarding the importance of maintaining a healthy lifestyle through proper dietary management and regular light physical activity tailored to the abilities of Prolanis members.

Diabetes mellitus (DM) is a metabolic disease characterized by elevated blood glucose levels. This condition includes several types, such as type 1 and type 2 diabetes. It occurs when the body is unable to produce enough insulin, experiences impaired insulin function, or faces a combination of both. As a result, glucose cannot be effectively absorbed by the body’s cells and accumulates in the bloodstream, leading to high blood sugar or hyperglycemia. If this condition persists, the buildup of glucose can cause various disorders in different organs. Without proper management, diabetes may lead to severe and life-threatening complications. Chronic hyperglycemia in diabetic patients is associated with long-term damage, dysfunction, and even failure of vital organs such as the eyes, kidneys, nerves, heart, and blood vessels. In this activity, percentage-based methods and demonstrations of blood glucose testing were used as educational tools for students. The results showed that students’ awareness of the dangers of elevated blood sugar levels remains low. Many of them are still unfamiliar with the importance of regular blood glucose monitoring and maintaining a healthy lifestyle to prevent diabetes. Therefore, continuous efforts are needed to provide education and outreach on the prevention and early management of diabetes mellitus.

Occupational Safety and Health (OHS) is a fundamental aspect in maintaining the smooth production process while maintaining the welfare of workers in the food manufacturing industry. This study aims to analyze in depth the implementation of the OHS program at PT XY, a medium-scale food manufacturing company, by reviewing the applicable policies, program implementation, obstacles encountered, and potential strategies for improvement. The study used a qualitative descriptive approach through direct observation in the production area, semi-structured interviews with 12 informants consisting of managers, supervisors, and operators, and a review of various internal company documents related to OHS. The research findings revealed that the company has a formally formulated OHS policy supported by regular training, but its implementation is not evenly distributed across all work units. Key weaknesses include inconsistent internal audit implementation, low worker awareness in reporting incidents, and a limited number of human resources with specific OHS competencies. Based on these findings, the study recommends strengthening the risk-based OHS management system, increasing human resource capacity, and integrating OHS indicators into the production performance evaluation system to support more optimal OHS implementation in the company.

Elevated blood pressure above the normal range is a hallmark of a medical condition known as hypertension. It is estimated that as the population ages, the number of hypertension cases will also increase. If this condition is properly managed early, it can be controlled. Controlling daily eating habits is one of the most effective non-pharmacological methods for lowering blood pressure. Therefore, finding alternative food sources that can naturally lower blood pressure is crucial. Red dragon fruit (Hylocereus polyrhizus), which is high in fiber, potassium, and antioxidants such as vitamins B, C, and E, is one possible option. These nutrients are important for maintaining blood vessel flexibility and controlling hypertension. The purpose of this study was to determine the effect of red dragon fruit juice consumption on blood pressure in the Paku Village Community Health Center (Puskesmas Pembantu) operational area. A single-group pre-experimental design was used in this study. A paired-sample t-test was used to assess the data. Based on the findings, the average systolic blood pressure was 184 mmHg before consuming red dragon fruit juice and decreased to 164 mmHg after the intervention. With a t-value of 23.4, a correlation of 0.96, and a p-value of 0.000 (p < 0.05), this decrease was statistically significant. Meanwhile, the average diastolic blood pressure dropped from 101 mmHg to 84 mmHg, with a correlation of 0.961, a t-value of 18.65, and a p-value of 0.000 (p < 0.05). These results indicate that consuming red dragon fruit juice significantly lowers blood pressure, with an average decrease in systolic pressure of 20 mmHg and diastolic pressure of 17 mmHg.

Health communication and community empowerment are crucial for improving health outcomes at the primary health care level. As a primary health care facility, the Empat Ulu Community Health Center in Palembang plays a strategic role in disseminating health information, strengthening community capacity, and promoting healthy lifestyles through various educational activities. The Field Learning Practice (PBL) activity, conducted by students within the community health center's work area, aimed to strengthen the implementation of health communication, particularly in promoting Clean and Healthy Living Behavior (PHBS) in elementary schools. The methods used included field observation, discussions, face-to-face counseling, handwashing demonstrations, and the distribution of educational media. The results showed an increase in students' understanding of PHBS, demonstrated by their ability to answer questions, practice handwashing correctly, and their enthusiasm during interactive sessions. This activity not only strengthened students' knowledge but also demonstrated that a two-way communication approach and the use of simple visual media can enhance the effectiveness of health education. Overall, this PBL activity contributed to supporting the community health promotion program and strengthened the role of students in encouraging community self-reliance in maintaining health.

This research at TPA Siti Hajar aims to determine the impact of democratic parenting on the creativity of early childhood aged 4-5 years. The study found that 80% of respondents demonstrated good assessment results, while 20% achieved excellent grades. Democratic parenting, observed in this study, plays a significant role in fostering independence and confidence in children. This type of parenting is ideal for educating children, as it promotes responsibility, leadership, independence, and the ability to build healthy interpersonal relationships. Creativity, as defined in the study, is the ability to generate new ideas, solve problems, and produce innovative products. Using a quantitative approach with an experimental method, the research involved 10 out of 15 children from TPA Siti Hajar. Data was collected through observation and interviews. The results showed a significant correlation between democratic parenting and the development of children's creativity. Children exposed to democratic parenting exhibited increased independence and creativity, adapting well to their school environment. The study concludes that democratic parenting significantly influences early childhood creativity, fostering a safe and supportive space for children to thrive. This positive influence encourages independence while maintaining clear, consistent boundaries, which enhances their creative and developmental stages.

This article, titled "Parental Participation and Preventive Measures Against Cigarette Smoke Exposure in Early Childhood," aims to describe the impact of cigarette smoke exposure on the health of early childhood and analyze the role of parents in prevention efforts. This research used a literature review method, compiling data from books, journals, research reports, and related academic sources. The results of the study indicate that cigarette smoke exposure can increase the risk of respiratory disorders, reduce immunity, exacerbate asthma, and trigger various chronic diseases in children. These findings confirm that early childhood is the group most vulnerable to the dangers of cigarette smoke, both from active and passive smoking. Furthermore, the discussion demonstrates the central role of parental participation through smoking cessation, the implementation of smoke-free homes, maintaining a clean environment, and ongoing family education. Various strategies, such as evidence-based education and the use of digital media, are also considered effective in raising parental awareness. Therefore, protecting children from cigarette smoke exposure requires family commitment and the support of a healthy environment.

This Community Service (PKM) activity aims to assist students of Madrasah Tsanawiyah Shirojut Thalibin in understanding the adolescent development period through the perspectives of Aristotle, Comenius, and Charlotte Bühler. The mentoring was motivated by the complexity of physical, emotional, social, and spiritual changes during adolescence and the low interest of students in studying the stages of human development. The activity was carried out for one week through educational, interactive, and collaborative strategies, using participatory discussion methods, theoretical explanations contextualized with the realities of adolescent life, varied learning media, role simulations, and joint evaluation and reflection. The subjects of the activity were students of MTs Sirajut Thalibin Racek Village, Tiris District, Probolinggo. The results of the mentoring showed an increase in students' understanding of the stages of adolescent development, a higher awareness of maintaining physical and mental health, and a better ability to link personal changes with developmental tasks and life goals. Teachers and the madrasah also experienced positive impacts in the form of strengthened understanding of adolescent characteristics and adjustments to a more holistic learning approach. This activity produces scientific articles, activity documentation, and student work products, while also recommending the integration of human development material in learning and guidance programs to support the moral, intellectual, social, and spiritual development of adolescents.

Balance is a crucial component in maintaining independence in the elderly and preventing the risk of falls. Decreased balance function with aging can increase the incidence of falls, impacting the elderly's quality of life. This activity aims to screen balance in the elderly using the One Leg Standing Test (OLST) as a simple measurement tool to assess static balance. The activity was conducted in the elderly community in RT 05/RW 08, Karang Anyar Village, Central Jakarta. The test was conducted by asking participants to stand on one leg, and a time was determined until they lost their balance. The screening results showed variations in balance ability, with some elderly still in the good category, while others showed a decline in balance ability and were at risk of falls. These findings demonstrate the importance of balance training programs, muscle strengthening, and fall prevention education for the elderly. This screening activity is expected to form the basis for planning further health interventions to improve the safety and quality of life of the elderly in the community.

Background: Adolescence is a crucial stage of human development, during which adequate and balanced nutrition plays an important role in supporting growth and maintaining long-term health. At this age, eating habits begin to form, yet many adolescents tend to choose fast food, which generally has low nutritional value. Such foods are typically high in fat, sugar, and salt, but low in fiber from fruits and vegetables, potentially affecting their nutritional status. This study aims to examine the relationship between the frequency of Junk Food consumption and fiber intake with the nutritional status of students at SMP Negeri 9 Palu. This research employed an analytical quantitative approach using a cross-sectional design, involving a population of 97 students. Data were collected through the SQ-FFQ questionnaire to assess Junk Food consumption, 3×24-hour dietary recalls to measure fiber intake, and anthropometric measurements to determine nutritional status. Data analysis was conducted using the chi-square test. The results indicated a significant relationship between Junk Food consumption and nutritional status (p < 0.05). In contrast, fiber intake showed no meaningful association (p > 0.05), possibly because most respondents had similarly low fiber intake, resulting in insufficient variation to influence nutritional status. Other factors such as total energy intake, physical activity, and sleep patterns may also contribute to adolescents’ nutritional conditions. These findings highlight the importance of nutrition education in schools and the role of parents in monitoring adolescents’ eating habits. Further research with a larger sample size and more detailed dietary assessment methods is recommended to obtain more comprehensive results.  

The global increase in life expectancy has significantly contributed to the growth of the elderly population, including in Indonesia, which has now entered the aging population phase with more than 10% of its total population aged 60 years and above. This demographic shift presents challenges in maintaining the quality of life among the elderly, particularly in tropical border regions such as Tarakan City. Karang Anyar Pantai Village, located in West Tarakan District, has a considerable number of elderly residents supported by existing elderly health posts (posyandu lansia). Social and health interventions through elderly exercise programs, nutritional support in the form of mung bean porridge, and regular monthly health check-ups are considered strategic efforts to improve physical health, metabolic function, and psychological well-being among the elderly. This study aims to evaluate the impact of these three interventions on enhancing the quality of life of the elderly in Karang Anyar Pantai. By assessing the effectiveness of these interventions, this research seeks to provide recommendations for improving elderly care programs in similar regions.

The global increase in life expectancy has significantly contributed to the growth of the elderly population, including in Indonesia, which has now entered the aging population phase with more than 10% of its total population aged 60 years and above. This demographic shift presents challenges in maintaining the quality of life among the elderly, particularly in tropical border regions such as Tarakan City. Karang Anyar Pantai Village, located in West Tarakan District, has a considerable number of elderly residents supported by existing elderly health posts (posyandu lansia). Social and health interventions through elderly exercise programs, nutritional support in the form of mung bean porridge, and regular monthly health check-ups are considered strategic efforts to improve physical health, metabolic function, and psychological well-being among the elderly. This study aims to evaluate the impact of these three interventions on enhancing the quality of life of the elderly in Karang Anyar Pantai. By assessing the effectiveness of these interventions, this research seeks to provide recommendations for improving elderly care programs in similar regions.

The purpose of this study is to analyse the comparison of sensory characteristics between original putu ayu cake and a variant with a 25% substitution of kale leaf flour. The substitution of kale leaf flour is expected to serve as a natural alternative for coloring while also improving the cake's nutritional value. This research utilized a quantitative experimental approach, involving organoleptic testing with 62 panelists from the Brangsong Baru Housing. The panelists evaluated four sensory aspects: aroma, color, taste, and texture. The results from the organoleptic tests showed that substituting kale leaf flour positively influenced the aroma of the putu ayu cake without compromising its texture. However, the color and taste still require improvements to enhance the overall consumer acceptance of the cake. These findings highlight the potential of kale leaf flour as a functional ingredient in traditional cakes, offering a healthier alternative while maintaining the sensory qualities that consumers expect.